Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.05 / $55.05 / $73.64	Facility	26	$55.05	$55.05	$73.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.55 / $425.02 / $944.70	Professional		$319.55	$425.02	$944.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.15 / $60.97 / $215.71	Professional	26	$51.15	$60.97	$215.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $268.39 / $369.97 / $746.10	Professional	TC	$268.39	$369.97	$746.10
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $123.70 / $135.18 / $276.20	Facility	26	$123.70	$135.18	$276.20
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $251.47 / $805.80 / $2,879.21	Professional		$251.47	$805.80	$2,879.21
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $56.96 / $109.89 / $356.25	Professional	26	$56.96	$109.89	$356.25
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $281.49 / $760.64 / $2,522.94	Professional	TC	$281.49	$760.64	$2,522.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $627.88 / $933.87 / $1,261.15	Professional		$627.88	$933.87	$1,261.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $76.38 / $105.49 / $139.53	Professional	26	$76.38	$105.49	$139.53
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $556.95 / $828.37 / $1,118.68	Professional	TC	$556.95	$828.37	$1,118.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.02 / $852.88 / $1,512.26	Professional		$390.02	$852.88	$1,512.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.89 / $106.30 / $190.97	Professional	26	$60.89	$106.30	$190.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $272.66 / $734.18 / $1,320.91	Professional	TC	$272.66	$734.18	$1,320.91
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $41.39 / $311.88 / $716.16	Professional		$41.39	$311.88	$716.16
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $554.19 / $1,045.81 / $1,380.27	Professional		$554.19	$1,045.81	$1,380.27
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $67.98 / $128.97 / $171.13	Professional	26	$67.98	$128.97	$171.13
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $486.20 / $922.32 / $1,223.77	Professional	TC	$486.20	$922.32	$1,223.77
Health New England Facility/Professional Professional Modifier Low / Median / High Price $87.51 / $118.26 / $450.50	Professional		$87.51	$118.26	$450.50
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $128.97 / $128.97 / $276.20	Facility	26	$128.97	$128.97	$276.20
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $264.87 / $856.30 / $2,879.21	Professional		$264.87	$856.30	$2,879.21
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $60.90 / $116.94 / $356.25	Professional	26	$60.90	$116.94	$356.25
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $250.42 / $808.02 / $2,522.94	Professional	TC	$250.42	$808.02	$2,522.94
United Facility/Professional Professional Modifier Low / Median / High Price $197.74 / $620.28 / $1,335.17	Professional		$197.74	$620.28	$1,335.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.20 / $84.09 / $190.66	Professional	26	$59.20	$84.09	$190.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $130.54 / $545.19 / $1,175.49	Professional	TC	$130.54	$545.19	$1,175.49